1609971092 NPI number — DR. BELA A GIESE MD

Table of content: DR. BELA A GIESE MD (NPI 1609971092)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609971092 NPI number — DR. BELA A GIESE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIESE
Provider First Name:
BELA
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ACHAREKAR
Provider Other First Name:
BELA
Provider Other Middle Name:
ARUN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1609971092
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/25/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1490 PANTOPS MOUNTAIN PL STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTESVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22911-4601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-979-4440
Provider Business Mailing Address Fax Number:
434-979-4441

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1490 PANTOPS MOUNTAIN PL STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22911-4601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-979-4440
Provider Business Practice Location Address Fax Number:
434-979-4441
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0101234933 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 266742 . This is a "ANTHEM SERV HEALTHKEEPERS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 4943426 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 10013690 . This is a "COMMUNITY HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 338381 . This is a "ANTHEM SERVICES/HEALTHKEEPERS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 8162664 . This is a "MAMSI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 459847 . This is a "SOUTHERN HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: P00466761 . This is a "MEDICARE RAILROAD PALMETTO GBA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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